Anxiety symptoms in Japanese and in German children

The purpose of this study was to compare the frequency of anxiety symptoms and their association with gender and age in Japanese and German children using the Spence Children's Anxiety Scale (SCAS). A total of 1837 children (862 from Germany and 975 from Japan) between the age of 8 and 12 years were investigated. Results revealed that German children reported significantly higher symptoms of separation anxiety, social phobia, obsessive compulsive disorder, and generalized anxiety disorder than Japanese children. Conversely, Japanese children reported significantly higher scores on symptoms related to physical injury fear. In both countries, girls scored higher than boys on all the scales of the SCAS. Symptoms of separation anxiety and panic decreased with age, whereas social phobia increased with age. The findings underscore the impact of culture on children's anxiety.     

The Anxiety Sensitivity Index for Children: factor structure and relation to panic symptoms in an adolescent sample

This study examines the factor structure underlying the Anxiety Sensitivity Index for Children (ASIC. J Anxiety Disord, 12 (1998) 307) in an adolescent sample. Three-hundred-and-eight adolescents, aged 12 to 18, completed the ASIC and measures of anxiety and depression. Factor analysis of the ASIC items resulted in a two-factor structure that is similar to that reported by Laurent et al. These two factors included a physical concerns dimension and a mental concerns dimension similar to those found in studies of adult anxiety sensitivity. Subscales measuring these two factors demonstrated concurrent validity, showing particularly close associations with measures of panic symptoms. In addition, both of these subscales showed incremental validity in predicting panic symptoms after controlling for the other anxiety sensitivity subscale and a measure of depression. These results provide evidence that the anxiety sensitivity construct is applicable during adolescence and support the use of the ASIC.     

Follow-up of victims of one terrorist attack in Israel: ASD, PTSD and the perceived threat of Iraqi missile attacks

The first aim of the study was to examine the relationships between acute stress reactions and post-traumatic reactions following exposure to a terrorist attack. The second was to examine whether exposure to a terrorist attack increases the perceived threat and fear of renewed Iraqi missile attacks. Data were collected at two points in time: during the first month after the exposure to a terrorist attack (N = 54), and four months later (N = 44). Twenty-four percent of the exposed group had acute stress disorder (ASD), and a similar percentage had PTSD. Among participants who had ASD, the chances of developing PTSD were three times greater than among those who had never experienced ASD. Among participants who had been exposed to a terrorist attack and developed PTSD, the perceived threat of an Iraqi missile attack was greater than among those who had been exposed to a terrorist attack but did not develop PTSD, or among the participants in the control group. The discussion deals with the findings in light of the current controversy regarding ASD and the current situation in Israel.     

Acute nicotine withdrawal symptoms and anxious responding to bodily sensations: a test of incremental predictive validity among young adult regular smokers

Although previous work has found associations between panic and smoking, little research has investigated potential mechanisms by which smoking may contribute to panic problems. The present investigation evaluated the incremental validity of acute nicotine withdrawal symptoms (elicited by an average of 2 h of nicotine deprivation) relative to negative affectivity, anxiety sensitivity, and nicotine dependence in predicting anxiety responding to 3-min voluntary hyperventilation. The sample consisted of 90 regular smokers (46 females), as defined by smoking 10 cigarettes per day for at least 1 year, recruited through the general community. Consistent with prediction, greater levels of pre-challenge nicotine withdrawal symptoms uniquely predicted post-challenge intensity of panic symptoms and anxiety relative to other established factors. Findings are discussed in the context of how regular smoking may promote panic symptomotology.     

Brief cognitive-behavioral phone-based intervention targeting anxiety about the threat of attack: a pilot study

A brief, cognitive-behavioral, phone-based intervention was employed with an Israeli sample experiencing anticipatory anxiety about potential war-related attacks. In this quasi-experimental controlled pilot study, the cognitive-behavioral therapy intervention (diaphragmatic breathing and a modified cognitive-restructuring technique) was compared with the standard hotline care administered when worried citizens called a mental health emergency hotline in Israel. Individuals (n=32) were administered anxiety and worry measures pre-intervention, post-intervention, and three days post-intervention. The results indicated that anxiety levels decreased for the experimental and control group immediately post-intervention; however, three days later, the levels of anxiety in the CBT group continued to decline, while anxiety levels in the control group reached pre-intervention levels on two of the three outcome measures. These results suggest that CBT can be effectively delivered by paraprofessionals over the phone, which is cost-effective and efficient. Limitations are considered, and implications for treating individuals coping with the threat of terrorism are discussed.     

Anxiety sensitivity as a predictor of panic disorder symptoms: a prospective 3-year study

Background and Objectives: Anxiety sensitivity (AS) is the fear of anxiety symptoms, a feature proven to be an important vulnerability factor for anxiety pathogenesis. The aim of this study was to examine whether AS (as well as its factors) predicts the onset of panic disorder symptoms when controlling for the contribution of trait anxiety.

Design: We conducted a prospective 3 year follow up study.

Methods: The participants, students at the Humanities and Social Sciences in Zagreb (N?=?1087), completed an Anxiety Sensitivity Index and State-Trait Anxiety Inventory (Trait form) and, after a period of three years, were asked to self-assess criteria for panic disorder (according to the DSM-5).

Results: The predictive validity of AS for the onset of panic disorder symptoms, regardless of trait anxiety, was confirmed. Furthermore, the physical concerns dimension of AS was the only significant predictor of panic disorder symptoms. The optimal cutoff score of 25 on the ASI provides poor to moderate accuracy indices in detecting participants who will manifest panic disorder symptoms in the next three years.

Conclusion: This study contributes to our current understanding of AS as a prospective risk factor for panic disorder symptoms.     

Disgust Sensitivity and Anxiety Disorder Symptoms: Psychometric Properties of the Disgust Emotion Scale

Recent research has implicated disgust sensitivity in the etiology of specific anxiety disorders. The Disgust Emotion Scale (DES) is a newly developed measure that was designed to improve the assessment of disgust sensitivity. The present study examines the psychometric properties of the DES. Exploratory factor analysis in Study 1 revealed five factors of disgust towards: (1) rotting foods, (2) blood and injection, (3) smells, (4) mutilation and death, and (5) small animals. The DES demonstrated adequate internal consistency and convergent validity. Significant positive correlations were found between the five factors of the DES and blood-injection-injury fears and obsessive-compulsive disorder symptoms. Confirmatory factor analysis in Study 2 provided support for the five-factor model. However, there was indication of item overlap within the factors. These findings suggest that the DES is a reliable measure of disgust as it relates to specific anxiety disorder symptoms.     

Punishment under threat: The role of personality in costly punishment

It is often assumed that people engage in costly punishment of third parties for prosocial reasons. In this study, we examined to what extent people engage in costly punishment of third parties in response to a perceived punishment threat rather than due to prosocial reasons. Using a modified public goods game with a punishment stage, we show that personality plays an important role in determining which of these processes drive costly punishment. We found that Honesty-Humility, which is related to prosociality, facilitates costly punishment independent of expected punishment to oneself, while Emotionality, which is related to fearfulness, facilitates punishment that is mediated by expected punishment. Agreeableness, which is related to anger and displaced aggression, had no effect on costly punishment.     

The natural course of anxiety symptoms in early adolescence: factors related to persistence

Background and objectives: Anxiety disorders are the most common mental health problems during childhood and adolescence. This study examined the course of anxiety symptoms in early adolescents from the general population over three phases.

Design: Prospective cohort study.

Methods: Two hundred and forty-two participants (mean-age of 13.52) from a baseline sample of 1514 (mean-age of 10.23) were followed up three times. Of the 1514 children, those with emotional risk and controls without risk constituted the second-phase sample (n?=?562; mean-age of 11.25). The Screen for Child Anxiety Related Emotional Disorders-SCARED was administered in all three phases.

Results: Fifty-six percent and 32% of respondents showed total scores above the SCARED cutoff point at one and three years follow-up, respectively. Eight percent showed fluctuating symptoms. Fifty-five percent of respondents showed high scores for any subtype of anxiety over three years. Social phobia and generalized anxiety symptoms were the most prevalent and persistent. Participants with persistent separation anxiety showed the highest co-occurrence with symptoms of other psychopathological disorders. Participants with persistent anxiety showed lower academic performance. Being male was a protective factor against persistence.

Conclusions: The data support anxiety maintenance during early adolescence. Early adolescence is a critical period which may involve other serious academic, social, and family problems.     

CBT for Anxiety and Associated Somatic Complaints in Pediatric Medical Settings: An Open Pilot Study

Objective To examine the initial feasibility and potential efficacy of a cognitive-behavioral intervention for youth with anxiety disorders and non-medical somatic symptoms. Background Based on a strong relationship between somatic complaints and anxiety disorders, screening youngsters seeking medical care due to physical symptoms with no organic basis may enhance the recognition of anxiety disorders and facilitate access to appropriate services. Method Seven boys and girls, ages 8 through 15, with medically unexplained gastrointestinal complaints and anxiety disorders received a 12-session cognitive-behavioral intervention targeting anxiety and physical symptoms. Assessments were conducted at baseline and following treatment. Results All participants were classified as treatment responders. Three of the seven participants no longer met diagnostic criteria for their principal anxiety disorder. Children’s physical discomfort decreased from a moderate to minimal level based on self- and parent-reports. Conclusions Our modified cognitive-behavioral approach has promise for reducing anxiety and somatic symptoms in children seeking medical care.     

Anger in Wikipedia: Perceived intentionality and threat appraisal as mediators of anger about man‐made attacks

The online encyclopedia Wikipedia has established strict guidelines for the objectivity of content. At the same time, Wikipedia includes articles on negative events, such as disasters or man‐made attacks. These events can elicit strong emotions, which in turn may spill over into Wikipedia articles. Previous research has shown that Wikipedia articles on man‐made attacks contain more anger‐related content than Wikipedia articles on disasters. Building on these findings, we aimed to investigate whether the threat that Wikipedia authors experience when they learn of an attack is relevant as a factor in explaining the anger effect. Threat is known to elicit active and engaged reactions, such as anger, which is why it is a likely explaining factor. Our research also aimed to replicate the findings from the linguistic analysis of the Wikipedia articles using controlled scenario‐based laboratory experiments. Three studies demonstrated that man‐made attacks (terrorist attack, shooting rampage) elicited more threat, more anger, and more expressions of anger‐related content in Wikipedia texts than nature‐made disasters (earthquake, flood) and man‐made disasters (train accident). Moreover, threat was relevant as a factor in explaining the effects on anger and anger‐related content in the Wikipedia texts. These mediations could be explained by the perceived intentionality of the event. This research highlights the findings that perceived intentionality and threat are relevant mediating factors for feelings and expressions of anger after man‐made attacks.     

The prosodic expression of anger: Differentiating threat and frustration

A theory relating aggression and the pitch of vocalizations [Ohala, 1983, 1984] predicts that the expression of anger in humans should have a low pitch; however, experimentally anger is found to have a high pitch. A possible resolution of this discrepancy is that there are two different prosodic expressions of anger, one with low pitch and one with high pitch. To investigate this possibility, 27 different expressions of the phrase “Don't do that” were tape-recorded. Subjects first rated how angry each utterance sounded and then categorized each utterance as expressing either frustration, threat, disgust, advice, or emotional neutrality. Some utterances were rated as angry and categorized as frustration; other utterances were also rated as angry, but categorized as threat. Frustration correlated with higher fundamental frequency (F₀). Threat did not correlate with lower F₀, but it correlated with lower perceived pitch.     

The many faces of stereotype threat: Group- and self-threat

Contending with negative intellectual stereotypes has been shown to depress the academic performance of targets of the stereotypes [Steele, C. M. (1997). A threat in the air: How stereotypes shape intellectual identity and performance. American Psychologist, 52, 613-629]. The present paper examines whether women’s mathematics performance is differentially affected by the concern of confirming that a negative stereotype is true of the self (self-threat), than by the concern of confirming that the stereotype is true of their gender (group-threat). In two studies we independently manipulated these different threats for women taking a mathematics test. Gender identification moderated the effect of group-threats on test performance; only women highly identified with their gender underperformed. The performance of less gender-identified women was unaffected by group-threats. In contrast, gender identification did not moderate the effect of self-threats—both high- and low-identified women underperformed. The results of these studies suggest that women’s math performance is differentially affected by the source of the threat.     

Attention control in middle childhood: relations to psychopathological symptoms and threat perception distortions

The present study examined the construct of attention control, which is an important aspect of effortful control, in a sample of non-clinical children aged between 9 and 13 years. Results demonstrated that attention control was associated with a broad range of psychopathological complaints, including symptoms of anxiety, aggression, depression, and ADHD. As predicted, lower levels of attention control were accompanied by higher levels of these symptoms. Further, attention control was also negatively related to threat perception distortions, which indicates that children who display low levels of this regulative temperament factor are more prone to such cognitive biases. Third, when controlling for neuroticism, attention control remained significantly (negatively) associated with symptoms of anxiety, depression (child report only), and ADHD. The correlations between attention control and threat perception distortions largely disappeared when the influence of neuroticism was partialled out. Only the link between attention control and anxious interpretations of ambiguous vignettes survived this correction. Finally, no evidence was found for the hypothesised mediating role of cognitive distortions on the relation between temperament factors and psychopathological symptoms.     

Full statistical mediation of the relationship between trauma and depressive symptoms

Owing to the potentially devastating effects of trauma‐induced depression, explaining the relationship between trauma and depressive symptoms is important. In this study, we measured lifelong exposure to potentially traumatic events and depressive symptoms in 370‐female undergraduates. We also measured anxiety, past negative time perspective and dissociation as potential mediators. Trauma exposure and depressive symptoms were related with a small but significant effect size (r = .16). Trauma was not associated with dissociation. We found that past negative time perspective and anxiety were full statistical mediators of this trauma‐depressive symptoms relationship. These two mediators combined accounted for all of the variance in that association. Anxiety accounted for more of the variance than past negative time perspective. A proposed explanation is that trauma both affectively elevates anxiety and cognitively creates an enduring focus on the events. Chronic anxiety and a past negative time perspective may lead to depression over time. The clinical implications are possible explanations as to why some treatments work.     

Exploring correlations between positive psychological resources and symptoms of psychological distress among hematological cancer patients: a cross-sectional study

Hematological cancer patients experience high levels of psychological distress during diagnoses and intensive treatments. The aim of the present study is to explore the effects of positive psychological resources on depressive and anxiety symptoms in hematological cancer patients. This survey was conducted in a hospital during the period from July 2013 to April 2014. A total of 300 inpatients were recruited and finally 227 of them completed the questionnaires. Questionnaires included demographic and clinical variables, the Center for Epidemiologic Studies Depression Scale, the Self-Rating Anxiety Scale, the Life Orientation Scale-Revised, the General Perceived Self-Efficacy Scale, and the Resilience Scale-14. Results showed that the prevalence of depressive and anxiety symptoms was 66.1 and 45.8%, respectively. Both optimism (β = ?.479, p < .001) and resilience (β = ?.174, p < .05) were negatively associated with depressive symptoms, and optimism (β = ?.393, p < .001) was negatively associated with anxiety symptoms. However, resilience (β = ?.133, p > .05) was not significantly associated with anxiety symptoms, and self-efficacy was not significantly associated with depressive (β = ?.032, p > .05) or anxiety symptoms (β = ?.055, p > .05). The results suggest that hematological cancer patients who possess high levels of positive psychological resources may have fewer symptoms of psychological distress. The findings indicate that enhancing positive psychological resources can be considered in developing intervention strategies for decreasing depressive and anxiety symptoms.     

Intergroup threat,social dominance,and the malleability of ideology: The importance of conceptual replication

Consistent with the theory of malleable ideology, research has shown that, under intergroup threat, antiegalitarian individuals will exploit the malleable character of color blindness and strategically claim to be strong supporters of it. In three studies conducted in France, we found no support for this theory when measuring color blindness but strong support when using measures of laïcité, an ideology of secularism. Indeed, those who score low on social dominance orientation (SDO) were more likely to support laïcité than antiegalitarian individuals. However, a situational threat (Study 1), a symbolic threat experimentally induced (Study 2), and a perceived symbolic threat (Study 3) were all related to increased support for laïcité by people high in SDO, without affecting those low in SDO. Thus, laïcité is a malleable ideology that can be adopted by individuals having contrasting motivations, as color blindness in the United States. Implications for the role of exact and conceptual replications in the development of a psychological science are discussed.     

Thinking of threats: Economic threat appraisals and health threat appraisals predict differential racial attitudes during COVID-19

We examined whether perceptions of the health and economic threats posed by COVID-19 predict different patterns of intergroup attitudes, using data gathered during the early phase of the pandemic. Using data from 1339 geographically and politically diverse White US residents, we show that subjective economic threat predicted general anti-outgroup attitudes, while subjective health threat predicted negative attitudes towards both Asian and Latinx (“stereotypically foreign”) outgroups but not towards other outgroups. Among 303 geographically and politically diverse Black US residents, the pattern instead suggested that threat (regardless of type) was associated with reduced evaluative differentiation between racial ingroups and outgroups.     

Living under threat: Mutual threat perception drives anti‐Muslim and anti‐Western hostility in the age of terrorism

This research demonstrates a common psychology of outgroup hostility driven by perceived intergroup threat among three groups and seven cultural contexts: non‐Muslim Westerners, Muslims in Western societies, and Muslims in the Middle East. In Study 1, symbolic, but not realistic and terroristic threats, predicted non‐Muslim Norwegians' intentions to join anti‐Islamic movements. In Study 2, symbolic and realistic, but not terroristic threat, predicted non‐Muslim Americans' willingness to persecute Muslims. In Studies 3 and 4, symbolic threat predicted support and behavioral intentions against the West among Swedish and Turkish Muslims. Finally, in Study 5, a comparison demonstrated that symbolic and realistic threats had the same effects on violent intentions among non‐Muslim and Muslim Danes, and Muslims in Afghanistan. Meta‐analysis showed that symbolic threat was most strongly associated with intergroup hostility. Across studies, participants with high religious group identification experienced higher levels of threat. Implications for intergroup research and prejudice reduction are discussed.     

The threat of moral transgression: The impact of group membership and moral opportunity

When other ingroup members behave immorally, people's motivation to maintain a moral group image may cause them to experience increased threat and act defensively in response. In the current research, we investigated people's reactions to others' misconduct and examined the effect of group membership and the possible threat‐reducing function of moral opportunity—the prospect of being able to re‐establish the group's moral image. In Study 1, students who were confronted with fellow students' plagiarism and who received an opportunity to improve their group's morality reported feeling less threatened than students who did not receive such opportunity. In Study 2, students reacted to a recent academic fraud case, which either implicated an ingroup (scholar in their own discipline) or an outgroup member (scholar in another discipline). Results indicated that participants experienced more threat when an ingroup (versus an outgroup) member had committed the moral transgression. However, as hypothesized, this was not the case when moral opportunity was provided. Hence, the threat‐reducing effect of moral opportunity was replicated. Additionally, participants generally were more defensive in response to ingroup (versus outgroup) moral failure and less defensive when moral opportunity was present (versus absent). Together, these findings suggest that the reduction of threat due to moral opportunity may generally help individuals take constructive action when the behavior of fellow group members discredits the group's moral image.